CPT code 19342 represents insertion or replacement of a breast implant performed after a prior mastectomy. This reconstructive procedure is an essential component of post-mastectomy care and has national relevance for surgical practices, oncology care teams, and payer coverage policies. Decisions about implant reconstruction affect patient recovery, aesthetic outcomes, and care coordination between surgical and oncologic services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for CPT code 19342, typical settings where the procedure is performed, and the main payer landscape. The publication outlines common billing considerations, commonly applied modifiers (list provided in input), and where to look for documentation and coding guidance.

This summary provides benchmarks and policy context relevant to hospitals and ambulatory surgical centers, highlights factors that influence site-of-service decisions, and summarizes documentation elements that commonly accompany reconstructive implant procedures after mastectomy. Data not available in the input is noted where applicable.